Validation of Korean Pediatric Resuscitation Tape

¹Department of Emergency Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
²Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
³Department of Biostatistics and Data Innovation, Soonchunhyang University Seoul Hospital, Seoul, Korea
⁴Department of Applied Statistics, Chung-Ang University, Seoul, Korea

Correspondence

Hye Young Jang ,Tel: 02-710-3118, Fax: 02-710-3199, Email: emedhy@schmc.ac.kr,

Received: September 26, 2021; Revised: November 15, 2021 Accepted: November 15, 2021. Published online: October 31, 2022.

ABSTRACT

Objective:
Various tools using the length-based method for weight estimation and decisions regarding equipment size have been used in pediatric resuscitation globally. The Korean Pediatric Resuscitation Tape (KPRT) is one such tool that has been developed recently. This study was performed to validate the use of KPRT in Korean children.
Method:
Data on the measured weights and the endotracheal tube (ETT) sizes used for children aged 12 years or less, who received general anesthesia, were collected by reviewing medical records from June 2018 to October 2020 at two hospitals in the urban areas of Korea. We compared the weight and ETT size estimated by the KPRT to the actually measured weight and ETT size used for the study population. We also calculated the weight and ETT size using an age-based formula and compared these values to the actual values of the patients. We then analyzed the agreement between these estimated values and the actual values of the children.
Results:
A total of 1,237 children were included in this study. The intra-class correlation coefficient of agreement between the actual weight and estimated weight by the KPRT was 0.94 compared to 0.93 when estimated by the age-based formula. The weighted kappa coefficient of the agreement between the ETT size actually used, and the size estimated by the KPRT was 0.61 compared to 0.74 when estimated by the age-based formula. The estimated ETT sizes using the KPRT were smaller than the actual size used in children under three years old, whereas it was larger for children aged eight years or more.
Conclusion:
Our study showed that the KPRT was a dependable tool for estimating the weight and ETT size of Korean children. Future studies would be needed to augment the reliability of the KPRT in pediatric resuscitation.

Key words: Resuscitation; Pediatrics; Body weight; Pediatric resuscitation tape